Active NPI
Nicollette Bergeron
- Mental Health Counselor
- Houma, LA
National Provider Identifier
1306371620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 801 Barrow St
Suite 201
Houma, LA 70360-4764 - Phone
- (985) 303-0182
- NPI assigned
- Apr 24, 2017
- Last updated
- Apr 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
801 Barrow St
Suite 201
Houma, LA 70360-4764
Mailing address
631 Parkside Dr
Thibodaux, LA 70301-3878
Phone (985) 227-5109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492992000000",
"number": "1306371620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 PARKSIDE DR",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703013878",
"telephone_number": "985-227-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 BARROW ST",
"address_2": "SUITE 201",
"city": "HOUMA",
"state": "LA",
"postal_code": "703604764",
"telephone_number": "985-303-0182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGERON",
"first_name": "NICOLLETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-24",
"last_updated": "2017-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.